Individual
DR. MAKENZIE NYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2411 W ANTHEM WAY, ANTHEM, AZ 85086-4900
(623) 551-2465
Mailing address
2411 W ANTHEM WAY, ANTHEM, AZ 85086-4900
(623) 551-2465
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S019820
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S019820
AZ STATE BOARD OF PHARMACY
AZ
Enumeration date
07/02/2013
Last updated
07/02/2013
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